Preliminary Music Evaluation Δ CompanyThis field is for validation purposes and should be left unchanged.PRIMARY EMAIL* PRIMARY PHONE*STUDENT INFORMATIONNEW OR RETURNING STUDENT?*NEW OR RETURNING STUDENT?NewReturningNAME* FIRST LAST GENDER*GENDERFemaleMaleBIRTHDATE* Month Day Year GRADE THIS SEPTEMBER*GRADE THIS SEPTEMBERNot yet school-age1st2nd3rd4th5th6th7th8th9th10th11th12thCollegeThis field is hidden when viewing the formCLASS INTERESTPlease select all classes you're interested in participating. Then, select your top priority choice class(es). All enrollment subject to availability during final registration.This field is hidden when viewing the formI'M INTERESTED IN ENROLLING IN THE FOLLOWING CLASS(ES): (SELECT ALL THAT APPLY) Prelude Beginner Instrument Class: 9Y+ Recorder: 7Y+ Band: 9Y+ Orchestra: 9Y+ Drumline: 12Y+ Flags: 12Y+ Prime Choir: 7Y - 12Y Junior Choir: 12Y - 14Y Senior Choir: 14Y+ Dance: 7Y+ This field is hidden when viewing the formFIRST CHOICE CLASSFIRST CHOICE CLASSPrelude Beginner Instrument Class: 9Y+Recorder: 7Y+Band: 9Y+Orchestra: 9Y+Youth SymphonyMusic Foundations: 7Y+Prime Choir: 7Y - 12YJunior Choir: 12Y - 14YSenior Choir: 14Y+Dance: 7Y+Art: 7Y+TheaterDiscoveryBookwormsThis field is hidden when viewing the formSECOND CHOICE CLASSSECOND CHOICE CLASSPrelude Beginner Instrument Class: 9Y+Recorder: 7Y+Band: 9Y+Orchestra: 9Y+Youth SymphonyMusic Foundations: 7Y+Prime Choir: 7Y - 12YJunior Choir: 12Y - 14YSenior Choir: 14Y+Dance: 7Y+Art: 7Y+TheaterDiscoveryBookwormsThis field is hidden when viewing the formTHIRD CHOICE CLASSTHIRD CHOICE CLASSPrelude Beginner Instrument Class: 9Y+Recorder: 7Y+Band: 9Y+Orchestra: 9Y+Youth SymphonyMusic Foundations: 7Y+Prime Choir: 7Y - 12YJunior Choir: 12Y - 14YSenior Choir: 14Y+Dance: 7Y+Art: 7Y+TheaterDiscoveryBookwormsPRELIMINARY MUSIC EVALUATIONPREVIOUS PLACEMENT (SELECT ALL THAT APPLY)* Music Makers Recorder 1 Recorder 2 Prelude Band Prelude Orchestra Training Band Training Orchestra Midpoint Band Midpoint Orchestra Not Applicable DESIRED PLACEMENT (SELECT ALL THAT APPLY)* Prelude Beginner Instrument Class Band / Orchestra Choir YEARS OF PIANO EXPERIENCE*YEARS OF PIANO EXPERIENCE0 Years of Piano Experience1 Year of Piano Experience2 Years of Piano Experience3 Years of Piano Experience4 Years of Piano Experience5 Years of Piano Experience6 Years of Piano Experience7 Years of Piano Experience8 Years of Piano Experience9 Years of Piano Experience10 Years of Piano Experience11 Years of Piano Experience12 Years of Piano Experience13 Years of Piano Experience14 Years of Piano Experience15+ Years of Piano ExperienceACCOMMODATIONS NEEDED FOR (SELECT ALL THAT APPLY) Require Glasses Partially or fully impaired in left eye Partially or fully impaired in right eye Partially or fully impaired in left ear Partially or fully impaired in right ear Other notes the program should know to help your student succeed OTHER ACCOMMODATIONSPRELUDE BEGINNER INSTRUMENT CLASSMUSIC GUIDANCE SURVEY*MUSIC GUIDANCE SURVEYTake Music Guidance SurveySkip Music Guidance Survey (PRIOR Permission ONLY) WHAT'S YOUR INSTRUMENT PREFERENCE? INSTRUMENT PREFERENCE #1*PREFERENCE #1I do not knowBaritoneBassoonCelloClarinetDouble BassFluteFrench HornOboePercussionSaxophoneTromboneTrumpetTubaViolaViolinOtherINSTRUMENT PREFERENCE #2*PREFERENCE #2I do not knowBaritoneBassoonCelloClarinetDouble BassFluteFrench HornOboePercussionSaxophoneTromboneTrumpetTubaViolaViolinOtherINSTRUMENT PREFERENCE #3*PREFERENCE #3I do not knowBaritoneBassoonCelloClarinetDouble BassFluteFrench HornOboePercussionSaxophoneTromboneTrumpetTubaViolaViolinOtherINSTRUMENT STATUS*INSTRUMENT STATUSI currently rent or own my primary instrumentI need to rent or purchase my primary instrumentINSTRUMENT(S) OWNED* MUSICAL + PHYSICAL CHARACTERISTICS TEETH* Even Uneven BITE* Aligned Overbite Underbite BRACES* None Now Anticipated CHIN* Large, Round, or Square Pointed or Sharp LIPS* Full or Large Medium Thin LIP SHAPE* Teardrop Cupid's Bow Neither HANDS* Small Medium Large FINGERS* Short Medium Long TORSO* Short Medium Long FINGER DEXTERITY*Please watch the above video and try the exercise modeled in the video. Then rate the ease of the exercise, below.Very ChallengingChallengingNeutralEasyVery EasyWRITING & TYPING SKILLS* I Have Strong Typing Skills for My Level I Have Good Handwriting for My Level MUSIC GUIDANCE SURVEYThis is the Selmer Music Guidance survey. The survey is divided into four parts including recorded examples of Pitch (Part A), Harmony (Part B), Melody (Part C), and Rhythm (Part D). Please listen to the instructions below, then complete each part. Your browser does not support the audio element. The first section is on Pitch. On the recording, you will hear several pairs of musical tones, you are to judge whether the second tone is the same as the first or whether it is higher (H), the same (S), or lower (L). Listen to the examples from the Pitch Intro, then complete the entire section. Your browser does not support the audio element. A-1 Your browser does not support the audio element. A-1* H S L A-2 Your browser does not support the audio element. A-2* H S L A-3 Your browser does not support the audio element. A-3* H S L A-4 Your browser does not support the audio element. A-4* H S L A-5 Your browser does not support the audio element. A-5* H S L A-6 Your browser does not support the audio element. A-6* H S L A-7 Your browser does not support the audio element. A-7* H S L A-8 Your browser does not support the audio element. A-8* H S L A-9 Your browser does not support the audio element. A-9* H S L A-10 Your browser does not support the audio element. A-10* H S L A-11 Your browser does not support the audio element. A-11* H S L A-12 Your browser does not support the audio element. A-12* H S L A-13 Your browser does not support the audio element. A-13* H S L A-14 Your browser does not support the audio element. A-14* H S L A-15 Your browser does not support the audio element. A-15* H S L A-16 Your browser does not support the audio element. A-16* H S L Now we are ready for the second part of the survey and this one uses chords. A chord is a combination of three or more tones played together. Remember, changing a single note changes the whole chord, so if you hear any change at all, you should choose (D), otherwise, choose (S) for same. Listen to the examples from the Harmony Intro, then complete the entire section. PART B: HARMONY INTRO Your browser does not support the audio element. B-1 Your browser does not support the audio element. B-1* S D B-2 Your browser does not support the audio element. B-2* S D B-3 Your browser does not support the audio element. B-3* S D B-4 Your browser does not support the audio element. B-4* S D B-5 Your browser does not support the audio element. B-5* S D B-6 Your browser does not support the audio element. B-6* S D B-7 Your browser does not support the audio element. B-7* S D B-8 Your browser does not support the audio element. B-8* S D B-9 Your browser does not support the audio element. B-9* S D B-10 Your browser does not support the audio element. B-10* S D B-11 Your browser does not support the audio element. B-11* S D B-12 Your browser does not support the audio element. B-12* S D B-13 Your browser does not support the audio element. B-13* S D B-14 Your browser does not support the audio element. B-14* S D B-15 Your browser does not support the audio element. B-15* S D B-16 Your browser does not support the audio element. B-16* S D In the third part of the survey, you will hear a combination of four tones played one after the other which form a melody. After a short rest, you will hear the second group of tones and you were to decide if the second group is the same as (S) or different (D) from the first. Listen to the examples from the Melody Intro, then complete the entire section. PART C: MELODY INTRO Your browser does not support the audio element. C-1 Your browser does not support the audio element. C-1* S D C-2 Your browser does not support the audio element. C-2* S D C-3 Your browser does not support the audio element. C-3* S D C-4 Your browser does not support the audio element. C-4* S D C-5 Your browser does not support the audio element. C-5* S D C-6 Your browser does not support the audio element. C-6* S D C-7 Your browser does not support the audio element. C-7* S D C-8 Your browser does not support the audio element. C-8* S D C-9 Your browser does not support the audio element. C-9* S D C-10 Your browser does not support the audio element. C-10* S D C-11 Your browser does not support the audio element. C-11* S D C-12 Your browser does not support the audio element. C-12* S D Now, here's the last part of the survey. This section uses rhythms. Many students think this is the easiest of all. On the recording you will hear a rhythmic figure and, after a short rest, a second one. Again, you will choose (S) for same and (D) for different. Listen to the examples from the Rhythm Intro, then complete the entire section. PART D: RHYTHM INTRO Your browser does not support the audio element. D-1 Your browser does not support the audio element. D-1* S D D-2 Your browser does not support the audio element. D-2* S D D-3 Your browser does not support the audio element. D-3* S D D-4 Your browser does not support the audio element. D-4* S D D-5 Your browser does not support the audio element. D-5* S D D-6 Your browser does not support the audio element. D-6* S D D-7 Your browser does not support the audio element. D-7* S D D-8 Your browser does not support the audio element. D-8* S D D-9 Your browser does not support the audio element. D-9* S D D-10 Your browser does not support the audio element. D-10* S D D-11 Your browser does not support the audio element. D-11* S D D-12 Your browser does not support the audio element. D-12* S D D-13 Your browser does not support the audio element. D-13* S D D-14 Your browser does not support the audio element. D-14* S D D-15 Your browser does not support the audio element. D-15* S D D-16 Your browser does not support the audio element. D-16* S D PRELUDE BEGINNER PERCUSSION (PIANO AUDITION)In addition to a piano audition, a rhythm evaluation is required for beginner percussion students.YEARS OF PIANO EXPERIENCE*YEARS OF PIANO EXPERIENCE2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 YearsCURRENT METHOD BOOK(S) & LEVEL*PRIVATE INSTRUCTOR NAME (PIANO)PRIVATE INSTRUCTOR EMAIL (PIANO) PRIVATE INSTRUCTOR PHONE (PIANO)BAND / ORCHESTRA PLACEMENT AUDITIONPRIMARY INSTRUMENT AUDITION (BAND / ORCHESTRA)*PRIMARY INSTRUMENT (BAND / ORCHESTRA)BaritoneBassoonCelloClarinetDouble BassFluteFrench HornOboePercussionSaxophoneTromboneTrumpetTubaViolaViolinOtherYEARS OF EXPERIENCE PRIMARY INSTRUMENT*YEARS OF EXPERIENCE PRIMARY INSTRUMENT1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 YearsPRIVATE INSTRUCTOR NAMEPRIVATE INSTRUCTOR EMAIL PRIVATE INSTRUCTOR PHONECURRENT METHOD BOOK(S) & LEVEL*INSTRUMENT STATUS*INSTRUMENT STATUSI currently rent or own my primary instrumentI need to rent or purchase my primary instrumentThis field is hidden when viewing the formSYMPHONY PLACEMENT AUDITIONBand/Orchestra is a corequisite for Symphony. Students interested in joining symphony must complete a band/orchestra audition first.PRIMARY INSTRUMENT AUDITION (SYMPHONY)*PRIMARY INSTRUMENT (SYMPHONY)BaritoneBassoonCelloClarinetDouble BassFluteFrench HornOboePercussionSaxophoneTromboneTrumpetTubaViolaViolinOtherYEARS OF EXPERIENCE PRIMARY INSTRUMENT*YEARS OF EXPERIENCE PRIMARY INSTRUMENT1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 YearsPRIVATE INSTRUCTOR NAMEPRIVATE INSTRUCTOR EMAIL PRIVATE INSTRUCTOR PHONECURRENT METHOD BOOK(S) & LEVEL*INSTRUMENT STATUS*INSTRUMENT STATUSI currently rent or own my primary instrumentI need to rent or purchase my primary instrumentPRELIMINARY VOICE EVALUATIONVOCAL RANGE (PRELIMINARY)*SELECT YOUR VOCAL RANGEI do not knowSopranoAltoTenorBassPRIVATE INSTRUCTOR NAMEPRIVATE INSTRUCTOR EMAIL PRIVATE INSTRUCTOR PHONEThis field is hidden when viewing the formAUDITION VIDEO (REQUIRED)PLEASE UPLOAD YOUR AUDITION VIDEO, FOLLOWING THE AUDITION GUIDE. IF YOU ARE HAVING TROUBLE UPLOADING THE FILE, PLEASE LET US KNOW IN THE COMMENT SECTION BELOW AND WE'll PROVIDE YOU AN ALTERNATIVE METHOD FOR SUBMISSION. Drop files here or Select files Accepted file types: pdf, jpg, jpeg, png, gif, doc, docx, , Max. file size: 0 bytes.